• Two-point contact achieved within 24 hours.
• Claim investigation is initiated during the contact phase and completed within 7 days.
• Plan of action is developed within 30 days in each lost time claim to resolve outstanding issues leading to resolution and closure of claim. Action plans should be updated as circumstances evolve, but no less than every 60 days.
• Subrogation potential is recognized and pursued.
• Appropriate cost containment strategies are utilized and considered on a case-by-case basis.
• Supporting medical documentation is obtained.
• Disability management and vocational rehabilitation measures are utilized to pursue an early return to work.
• Premium impact studies performed on all lost-time claims.
• Communication is maintained with the employer (bi-weekly), Managed Care Organization and Bureau of Workers’ Compensation until the claim is closed.
• Documentation is timely and written in a logical and sequential order.
• Litigation management is controlled by the examiner and cases are referred to counsel in a timely fashion. Examiner maintains control, assisting with counsel activity and reviewing status reports from counsel.
• Client’s special account instructions are documented and followed.